PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2007 2008 2009
SUMMARY: Currently, the clinical and hospital laboratories within Haiti are challenged to provide laboratory
services to support HIV/AIDS care and treatment. The successful implementation of the President's
Emergency Plan for AIDS Relief (PEPFAR) goals requires a significant strengthening and expansion of
laboratory services. As antiretroviral treatment (ART) is made more widely available, there is an immediate
need for expanded patient monitoring in clinical chemistry, hematology, and CD4. ASCP and the United
States Government (USG) team, working together, will enhance laboratory systems in Haiti by
implementing comprehensive laboratory quality assurance programs and conducting integrated laboratory
training.
BACKGROUND: On August 31, 2005, the ASCP received notice of award for "Supporting Laboratory
Training and Quality Improvement for Diagnosis and Laboratory Monitoring of HIV/AIDS Patients in
Resource Limited Countries through Collaboration with the ASCP," a three year cooperative agreement
between the Centers for Disease Control and Prevention and the ASCP. The overall goal of this program is
to enhance laboratory-testing practices and strengthen the quality of laboratory testing services in order to
improve the effectiveness of HIV/AIDS prevention, care and treatment services and interventions.
For COP08, ASCP conducted a Training of Trainers (TOT) training event for Laboratory Management and
Basic Laboratory Operations Training (BLOT) in place of a Chemistry, Hematology, and CD4 (TOT). These
trainings were conducted for 20 senior level department managers in June 2008. We will be back to
conduct a BLOT roll-out during COP08.
ACTIVITIES AND EXPECTED RESULTS:
ACTIVITY 1: Phlebotomy Training
ASCP will conduct 2 four-day training workshops (back-to-back) at NPHL in phlebotomy and specimen
collection designed for lab technologists that will include didactic and hands-on training. Participants engage
in hands-on training using venipuncture arms and infant feet, as well as actual participant practice. NPHL
has identified this as a critical need for sites throughout Haiti dues to errors associated with collecting blood
into improper vacutainers which has an impact on CD4 testing.
ACTIVITY 2: CD4 Technical Assistance - 1 month
One month of Technical Assistance will include one French speaking ASCP consultant remaining in country
for 31 days. In-country officials have determined that the focused goal of the TA is to ensure quality CD4
testing. An outcome will be enrollment of NPHL in a proficiency testing program.
ACTIVITY 3: Monitoring and Evaluation Activity
ASCP is currently working with an M&E specialist to design a tool to assess the impact of our COP08 lab
management training. This plan will include evaluation of lab sites that have received ASCP training
directly, or through regional roll-out trainings.
ACTIVITY 4: Assessment of University Hospital, Port au Prince
L'Hopital Universitaire d'Etat de Haiti (HUEH) is the largest public hospital in Port au Prince. Their HIV
clinic began operating in 2006 and currently has approximately 500 patients on ARV and 1,200 enrolled in
care. The rapid expansion of the HIV program has highlighted gaps within the hospital as a whole and
more specifically, the need for strategic planning for the laboratory. To assist with this, one ASCP consultant
will conduct a needs assessment of their laboratory. The ASCP consultant will conduct site-visits and
participate in discussions regarding the needs, gaps and strengths of the University Hospital. Based on
these discussions, ASCP will make recommendations regarding the immediate needs of the hospital to
assist with the reorganization of the Central Lab and to determine how the lab will best interact with other
hospital departments. The ASCP consultant will assess where the hospital is currently at and where they
need to go to assist in future planning performed by the University Hospital Board and the NPHL. Based on
these discussions, ASCP will make recommendations regarding the most immediate needs to strengthen
laboratory capacity. It is the responsibility of the country to create the itinerary and invite key stakeholders.
New/Continuing Activity: Continuing Activity
Continuing Activity: 17161
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
17161 9922.08 HHS/Centers for American Society 7673 5341.08 American $200,000
Disease Control & of Clinical Society for
Prevention Pathology Clinical
Pathology
9922 9922.07 HHS/Centers for American Society 5341 5341.07 American $173,000
Table 3.3.16:
